Module 2 Overview

In this course in the Healthcare Marketplace specialization you will identify, define, and describe potential business and public policy solutions to the challenges facing society’s growing demand for health services. Students will master a body of knowledge on the health care sectors major components through reading and reflection.
Healthcare has many different cultural components that will be discussed as historic trends as well as future demographic challenges. You will understand diverse philosophies and cultures within and across societies as they relate to healthcare. This outcome is particularly critical because of the tradeoffs needed to be assessed as medical technology advances faster than budgets and perhaps cultures are sometimes willing to tolerate.
At the end of the day, you will gain an appreciation for the role of creativity, innovation, discovery, and expression across disciplines in the development of new medical care solutions through and examination of the physician, medical technology and financing sub-sectors of the health economy.

审阅

SS

Really nice primer. Dr. Perente's teaching style is funny, engaging and educational! As someone taking a HEOR course myself, I would love to get an opportunity to meet him one day.

KH

May 08, 2017

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The material was really interesting and especially timely. I enjoyed completing the peer reviewed assignments and thought it allowed us to reflect well on the material we learned.

从本节课中

PHYSICIAN AND HOSPITAL SERVICES MARKET

In this module you will learn about the provider market in the health economy. The provider market mainly consists of the physician and hospital sectors. Combined they are largest source of expenditure in the health economy.

The take-away messages from this module are the provider market has demonstrated significant monopoly and the ability to set prices as well as price discriminate. The market is also one of the most technology advanced, regulated and human capital intensive markets on the planet – all of which contribute to significant barriers to entry that reinforce market power.
The skills gained from this module are an understanding of the physician and hospital’s voice of customer for a market research plan. In addition, the learner will gain an understanding of the range of sites of care as well provider reimbursement mechanism that are so critical for revenue generation within the hospital setting.

教学方

Stephen T Parente

脚本

So in module two, we talk about the provider's space, and by provider we mean physicians, and hospitals, and really everybody that's working inside the hospital. They could be nurses, they could be lab techs, a whole variety of people, pharmacists included. And the way that I think it's best to consider this idea of this provider space is the physician's workshop, because the physicians really set the tone for this. So in module two one thing we emphasize, is a little bit of the history of where this market came from, namely the physicians. And you can see that the top diagram, picture really, is of Johns Hopkins Hospital in Baltimore, Maryland. And Johns Hopkins Medical school really sets the tone for the US medical profession, in the sense of upping the ante quite a bit in terms of the training of physicians. Up until that point, when doctors were getting their medical degree, they could just attend medical school, literally show up for maybe six months, and learn a few trade pieces and go out, put their hat out in the late 19th century, said I'm doctor and I'll go cut you. What Hopkins required was that you had to have a four year baccalaureate degree coming in and then, once you were there, you had two years of clinical studies learning anatomy and physiology and bio chemistry. And then another two years of actual practice and apprenticeship coupled with a few additional residency years on top of that. That is, as we all know, is the modern medical education model, but they started it and as a result of that, actually found philanthropic dollars in the mid 20th century to support that model as being the dominant educational model going forward, and also control the licensure of that model. Quite a dynamic and monopolistic world of physicians created for themselves. Now flash forward to present, we see John Hopkins Hospital in the 21st century. Again, on the same campus but much more sprawling that beautiful building at the top left is still there, but is now surrounded by, basically, a sea of glass and all these advanced facilities. And really, what's changed is that the physicians are still in charge of the whole apparatus but the money and the resources and the negotiations and government contracts have just been amped up to just an incredible level. And it's really what sets the tone for making the physicians in the broader market, really the leading key strategic piece that dominates the healthcare marketplace today. [MUSIC]